IHC PT Rhabdo Case 2017

During his crew's last workout for the day, the pull-up pyramid, Ricky’s partner noticed that Ricky was struggling to complete the amount of pull-ups. This was unusual because this has always been one of Ricky’s strongest events. One of Ricky’s supervisors noticed that Ricky had swelling in his arms. Later, at his home, Ricky started having difficulty extending his arms completely. He also noted that his urine was a light brown tea color. Ricky became concerned and called his Supervisor.

Ricky reported to the Ogden Regional Hospital where a creatine phosphokinase (CPK) test was done. This test measures the amount of creatine phosphokinase (CPK) present in the blood. Ricky’s levels were at 77,830 U/L. Normal levels are 39 to 308 U/L. His kidneys were shutting down and functioning at 50 percent.

Due to the quick medical intervention and sodium bicarbonate IVs, by the next day in the hospital, Ricky’s kidney function was back to 100 percent and no permanent damage was reported. But, for the next week, his CPK level remained significantly higher than normal. This resulted in an extended eight-day hospital stay.

Rhabdomyolysis, Health and Fitness, Training, Hand Crews, RLS, Medical or Exertion